DIANE WOLSTENHOLME

PHILADELPHIA, PA
NPI1417592908
Other NameDIANE WOLSTENHOLME
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: PA  SP021119)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: PA  SP021119)
Enumeration Date2019-11-08
Last Update Date2020-02-14
Business Address
DIANE WOLSTENHOLME CRNP
3401 N BROAD ST
PHILADELPHIA, PA 19140-5189
Phone number: 215-707-5030
Mailing Address
DIANE WOLSTENHOLME CRNP
2450 W HUNTING PARK AVE
PHILADELPHIA, PA 19129-1302
Phone number: 215-707-5030